Coalition Goals

Modernizing Insurance Coverage to Keep Pace with Medical Innovation

1.

Make sure patients have improved access

Make sure patients have improved access to all cancer regimens, regardless of the delivery method, by ensuring patients don’t face dramatically higher out-of-pocket costs just because of how medicine is classified

2.

Ignite interest and educate policymakers

Ignite interest and educate policymakers at all levels about the drastic differences in cost-sharing for cancer medicine taken orally and how outdated insurance benefit design makes those treatments more expensive in terms of out of pocket costs

3.

Raise the visibility

Raise the visibility of this issue with Members of Congress through congressional briefings, hearings, advocacy and other activities

4.

Advocate for federal legislation to provide improved access

Advocate for federal legislation to provide improved access for 60% of the commercial market and respects states’ rights to determine how to regulate the other 40% under their guidance. Forty-three states plus the District of Columbia have passed similar legislation.

5.

Consider all possible scenarios

Consider all possible scenarios and ensure federal legislation does not contain loopholes with unintended consequences for the patient. Federal legislation should include the following provisions:

Cost-sharing for self- administered cancer treatment should not be less-favorable than chemotherapy that is injected or administered intravenously.

A health insurer cannot achieve compliance with this section by increasing patients’ out-of-pocket costs for chemotherapy that is injected or administered intravenously.

6.

Let patients speak

Let patients speak for themselves through advocacy training and engagement

7.

Ensure progress

Ensure progress continues at the state level

Members

Steering Committee

Join CIACC

Help us spread the word and encourage local officials and policymakers to be aware about the impact of disparities in cancer treatments.